Impact of Nerve-Sparing Radical Hysterectomy on Pelvic Dysfunctions and Overall Quality of Life in Cervical Cancer: A Comparative Clinical Study | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 44, Issue 2, April 2025, Page 638-645 PDF (753.28 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejsur.2024.329231.1243 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Alaadin Hussien  ; Reham Oreaba; Ihab S. Fayek; Gamal Amira; Haitham F. Othman
| ||||
| Department of Surgical Oncology, National Cancer Institute, Cairo University, Cairo, Egypt | ||||
| Abstract | ||||
| Background and Aims: The study aims to compare pelvic dysfunctions and quality of life in cervical cancer patients following nerve-sparing radical hysterectomy (NSRH) and conventional radical hysterectomy (CRH), and to assess the oncologic safety of NSRH through comparing survival outcomes of both techniques. Patients and Methods: All patients with stages I and II cervical cancer at the National Cancer Institute, Cairo University who underwent NSRH or CRH from 2016 to 2018 were included in the study and were assessed for pelvic dysfunctions and survival outcomes. Results: Fifty-two patients were enrolled in the study. A study group (NSRH group) of 25 patients and a control group (CRH group) of 27 patients. All patients signed an informed consent after a detailed account of the procedure, its expected outcome, and complications had been explained to them. The incidence of urine retention, urinary incontinence, severe constipation, and sexual dysfunction was higher among the CRH patients. There was a slight difference in disease-free survival and overall survival in both groups. Conclusion: The severity of pelvic dysfunctions was less after NSRH. NSRH is an oncologically safe technique as well. | ||||
| Keywords | ||||
| Cancer cervix; Conventional radical hysterectomy; Nerve-sparing radical hysterectomy; Pelvic autonomic nerve injury; Pelvic dysfunctions | ||||
|
Statistics Article View: 12 PDF Download: 9 |
||||
